People with nearsightedness, also known as myopia, cannot see clearly at distance. Myopia occurs when the eyeball is too long or when the cornea (the clear part on the front of the eye) is too steep.


People with farsightedness or hyperopia have a difficult time seeing clearly at near. Hyperopia or farsightedness occurs when the eyeball is too short or when the cornea (the clear part on the front of the eye) is too flat.


When the cornea has two curvatures causing the eye to be shaped more like an oval or football, people have astigmatism. Astigmatism causes distortion of images due to unequal bending of light rays entering the eye. This causes blurred vision for both near and distant objects. Astigmatism can exist alone or in combination with either myopia or hyperopia.


The eyes of a young person are capable of changing their focus from far to close to see well at almost any distance assuming they do not have myopia, hyperopia, and/or astigmatism.

For example, a 10-year-old with normal vision can see well far away, all the way to the end of their nose and anywhere in between. This ability to change focus from far to near (accommodation) is gradually lost with age so that around the early forties most people with normal distance vision begin having trouble seeing things close to them such as reading, sewing, computers, etc.

There is new surgical means of correcting this age-related loss of accommodation in addition to several multifocal contact lens designs.


A cataract is a clouding of the lens inside the eye. Cataracts are caused by normal aging, exposure to ultraviolet light, injury, or disease. Occasionally babies are born with cataracts. The most common cause is age with cataracts developing slowly after age 55.

The doctors in our practice care for our cataract patients only with Cincinnati’s most experienced and capable eye surgeons. The eye surgeons at Harper’s Point Eye Associates have been and will continue to be trusted to care for our own family members. Clearly, that means that we think that they are the best!

Chronic Dry Eye

Dry Eye is a common condition often underdiagnosed and untreated in which the eyes are insufficiently lubricated leading to chronic irritation, redness, and blurry vision.  Its symptoms can range from mild to severely debilitating for some patients.

Dry eye is associated with an underproduction of tears or more commonly a chemical imbalance of the tears themselves leading to premature evaporation.  Left untreated Dry Eye has the potential to damage vision and effect our daily activities such as reading, driving, working, and wearing contact lenses.

Diabetic Eye Disease

Diabetic retinopathy is a complication of diabetes that effects the small blood vessels behind the eye causing them to weaken, swell, and eventually leak. Ultimately, this leakage leads to a state of poor blood flow and oxygen to the lining of the eye (retina) causing a cascade of events including hemorrhage, glaucoma, retinal detachment, and scarring leading to loss of vision.

Most of these serious complications can be prevented with aggressive and consistent management of diabetes.

Flashes and Floaters

Flashes: Usually described as a “bright arc of light,” this condition can be indicative of a small retinal tear and requires immediate attention by an eye care professional.

Floaters: Particles that float in the vitreous and cause shadows on the retina. They are usually seen as small spots, cobwebs, or spiders. A common condition unless accompanied by flashes or seen as a ‘’shower” of particles.

Both of these conditions are, most often, a normal part of the aging process of the eye, but, in some cases, can be associated with a retinal tear or retinal detachment. We consider this to be an ocular emergency and, because of this risk, it is imperative that those who notice flashes or floaters contact our office immediately and have a thorough retinal exam with pupil dilation.

Glaucoma Testing and Treatment

Glaucoma is a leading cause of irreversible blindness that affects more than three million Americans.  It is a spectrum of diseases when increased pressure within the eye (intraocular pressure) and decreased blood flow damages the optic nerve.  Often called the “the disease that robs vision in the night”, people with most forms of glaucoma do not have symptoms until the optic nerve is already severely damaged.

If diagnosed early and managed carefully, glaucoma can be controlled, and permanent vision loss can be prevented.

LASIK and Refractive Surgery

Laser vision correction is the most technologically advanced method available today for reducing your dependence on glasses and contact lenses. We’re excited to be able to offer you pre-operative and post-operative care in association with Dr. James J Sanitato to offer you the finest in laser vision correction.

Laser vision correction is an out-patient surgical procedure that corrects vision problems using an excimer laser to recontour and alter the surface of the cornea. Laser vision correction is a treatment for a wide range of vision problems (nearsightedness, farsightedness, presbyopia and astigmatism).

Macular Degeneration

This is the degeneration of the central portion of the retina which is responsible for straight-on vision used in driving, reading, perceiving colors, and recognizing faces. Age related macular degeneration is the most common cause of blindness in people over 50 years of age.

To better understand Age-Related Macular Degeneration (AMD), its causes, symptoms, diagnosis, and treatment, please see the National Eye Institute’s excellent AMD website.

Patient Testimonials

Very nice people that shows alot of care towards each client definitely would recommend to my friends and family doctors was great and prescribed the perfect prescription for my eyes there’s alot of eye clinics out here but I definitely by far would reccomend haper point eyecare associates to anyone I knew in need of eye exam and prescriptions.

Daniel T.

Harper Point Eye Associates has a great team to facilitate eye examinations and have a large selection of glasses if needed. Customer service was excellent in every way.

W. B.

Dr Kirstein and staff were thorough and explained my overall eye health in detail. Answered all my questions and were clear with guidance. Excellent overall experience.

Bill T.

Staff was polite and professional. I felt safe to enter during a pandemic. Staff was excellent, they were positive and engaging!

Monty H.

My 14 year old daughter and I both had our first appointment at Harper’s Point Eye Dr yesterday. Everyone was absolutely AWESOME!! The staff are friendly, respectful and professional. The Dr. was great, he took his time, explained everything and was very thorough. I would highly recommend Harper’s Point Eye Dr. Such a great place!! Lots of wonderful eye frame choices. The entire staff are Amazing!


Dr. Todd Zelczak is the best, he’s my eye doctor for the last 20 years. I first found him on the best doctor list in the Cincinnati Magazine.

Hua L.

Excellent facilities that use the latest cutting edge technologies that are available today. They are always investing in new equipment and technologies. This combined with extremely well qualified staff makes them one of the best in this area.

Robert C.

I am new to the Cincinnati area and chose this practice because they were in network on my vision insurance. Got lucky on this one! The doctor took the time to discuss my particular vision issues and needs, and both he and the staff went above and beyond to make sure my needs were met. Five stars!

Kate A.

Dr. Kirstein and his staff are amazing! I’ve been going to him since 1985. He’s always up to date on checkups, procedures, and beautiful eye wear. Highly recommend if you’re looking for a new doctor!

Suzanne S.

My son injured his eye in football practice. Dr. Kirstein met us after hours, gave him medicine and put a contact lens patch on eye. He felt better immediately and was good for school by the next morning. Excellent doctor and service.

Tracy L.